Individual
DIANE KAY KLINGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., ANP
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 661-6461
(248) 661-6468
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 575-6315
(248) 661-6468
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704185793
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108888888
—
MI
Enumeration date
10/25/2006
Last updated
02/01/2021
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